March 30, 2014

Because it has nothing to do with providing best practices healthcare and everything to do with promoting its theology! And the problem becomes obvious when authority for healthcare decisions must pass through religious leadership that determines – based on theology and not medicine – if best practices ALIGNS with its dogma.

This is Crazytown.

Welcome to Bartlesville, Oklahoma, a town of about 35,000 people who have one hospital called the Jane Phillips Medical Center. That hospital is part of Ascension Health, a large Catholic health care consortium.

Yeah, so what?

Well, in order to do their jobs, local obstetricians and gynecologists need to maintain privileges there.

Okay.

In order to maintain privileges, a doctor must meet the hospital’s POLICIES.

Sounds reasonable, right, because healthcare policies should be informed by best practices, right?

Wrong.

Catholic hospitals determine their polices based on Catholic doctrine first and foremost. Medical ethics are subject to this doctrine.

Are you beginning to grasp how concern about an incompatibility between religious belief and science-based treatment might arise?

Stick with me here.

What happens when Catholic doctrine stands contrary to some science-based medical service like… let’s say… oh, I don’t know… there are so many to choose from… birth control. Let’s return to Bartlesville/Crazytown and find out together, shall we?

Here is where the rubber of medical service providers meets the road of Catholic doctrine: local OB-GYN doctors who wish to maintain privileges at the one hospital can no longer prescribe birth control for birth control because it’s contrary to Catholic doctrine.

Who determines what healthcare services best fits the needs of patients and on what grounds: medical practitioners with advanced medical training or a group of celibate men in dresses and funny hats who pretend they can turn wine into blood and crackers into flesh by mumbling some Latin?

You are not surprised to find out that the authority – the right and god-sanctioned ethical authority – just so happens to be the group of celibate men… who require no medical expertise whatsoever who are on the basis of their religious authority better able to determine what constitutes the right medical services to provide. The specific patient’s welfare isn’t worth shit; maintaining the Church’s ethical standards are paramount, and local OB-GYNs are turned into their accomplices.

And some people are so militant, so strident, so hateful as to suggest that this hierarchy is intolerable in the public domain where there really is compelling evidence that religious belief when imposed on others is fundamentally incompatible with exercising individual autonomy to hold evidence-based science, its products, and its medical practitioners in higher esteem than religious shepherds s leading flocks of willing religious sheep. We are to vilify those who complain about this religious interference in the public domain to be superior to those who are educated and highly trained people in certain practices. After all, they must immoral because that’s what religious leadership tells us so it must be true. This is equivalent to plumbers and their expertise subject to oversight by those who think pipes can be cleared of problems caused by evil spirits through exorcism. If you have a plumbing problem, this kind of authority suddenly becomes your concern when the plumber you must hire is obligated to not fix it for religious reasons.

The ongoing incompatibility between faith-based and science-adduced practices is so obvious, so ludicrous, so ethically screwed up, that its a mystery anyone with two neurons to rub together might think this hierarchy for determining services is in any way reasonable. It’s not; the truly delusional inmates are running the asylum… or, in this case, the hospital and its medical services.

I read many comments and articles by ‘moderate’ theists who suggest that, at their core, religious beliefs are really all the same, that what people are responding to with various kinds of religious faiths is recognizing the transcendent, honouring the spiritual, paying homage to a felt but never seen creative and loving force. It all sounds so… well, kumba ya-ish. And heart-warmingly lovely, mitigating the trivial differences that so easily separate us and acts like a special kind of blessed force (unseen by athiets, of course) that promotes the common good.

And then I read something like this and have to remind myself that the metaphorical holding of religious hands argued by different theists about life-enhancing nature of religious compatibility is nothing more than soothing lies we find in the daily practice of religious beliefs that inform how we behave towards others.

A 17 year old girl lived a hellish life and died a horrible death because of people acting on their religious convictions. More religion will never solve this ongoing and familiar tragedy played out in the lives of us little people who grant their religious convictions and the convictions of others a legitimate role in determining how to behave in ways that supposedly honour a god.

This is insane. And it’s insane because doing the same thing over and over and expecting a different result – some divine enhancement in the lives of humans – is not a rational nor reasonable expectation. Such a belief that a different result will occur is maintained in spite of contrary yet consistent evidence of harm caused by acting on religious convictions. When we choose to empower such beliefs with an assumption that they are legitimate because they involve some homage to a deity, then we have left the arena of what is rational, what is reasonable, what is probable, what is likely true, and entered the arena of what is is merely hoped for, what is wished, what is improbable, what is likely false. And this legitimizing of what is hoped for in spite of evidence to the contrary is not compatible with empowering respect and audience for what is true. Expecting more religious belief to magically find some way to stop the kind of human abuse people commit in the name of some god is crazy talk. It’s delusional. It’s dangerous and, in the case of Nurta Mohamed Farah, deadly.

Anyone who thinks that religious belief has a legitimate and compatible role to play in helping anyone determine how to treat other human beings with dignity and respect is guilty of helping to legitimize the actions of people to do terrible things to other people for exactly the same reasons. By legitimizing the intentions of those who act to honour some god, we legitimize the basis of such assumptions that they are true, that they are accurate, that they are correct. Such assumptions help to legitimize delusion and insanity rather than what’s rational and reasonable and backed by consistent evidence. Those who assume that religious belief is equivalent to rational thinking have no evidence to insist the two are compatible methods of inquiry, compatible voices that need to be heard, compatible means to inform morality and ethical behaviour, compatible avenues to establishing respect not only for the rights and freedoms and dignity of other people but how to act in ways that achieve these results. The evidence does not support this assumption. What evidence there is shows that by legitimizing delusional thinking, we legitimize its failure to respect other people’s claim to equal rights, legitimize its failure to establish equal freedoms, legitimize its failure to support equal respect between people, and we see this failure played out in religious inspired tragedy after religious inspired tragedy.

Isn’t it high time in the 21st century to stop tolerating and legitimizing this failed voice offered up as a compatible way of achieving noble goals and Enlightenment values by the religiously deluded? The religious perspective has nothing to offer any of us but more failure to be reasonable and rational and consistent with the evidence in every area of human endeavor in which it is granted a fair hearing. Isn’t it time we recognized its failure? Isn’t it time that we gave full credence to the rational and reasonable voice of a basic equality and dignity for all in shared rights and freedoms and reject the anti-rational voice of delusion? Is that not the least we can do on an individual basis if for no other reason than in memory of this one girl whose sad life was warped and twisted and ended by the deluded in the name of their religious beliefs? Isn’t a human life more important in and of itself to be treated as we ourselves wish to be treated – with the same level of dignity and respect – than simply as a piece of property of some god to be used and abused by the faithful who claim to be fulfilling god’s wishes?

We really do have to choose eventually because these different perspectives and antithetical methods of achieving our goals are not compatible. Agreeing at the very least to empower the Golden Rule seems to be a good starting point for everybody… unless you are deluded, in which case your opinions should not be invited to the grown-up’s table.

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Questionable Motives is a site dedicated to raising important questions in the never-ending battle between rationality and superstition, offering commentary about topical issues, and addressing which of these motivations is truly being served.